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Humana ACA Enrollees Younger Than Expected
Here's more fodder for the debate over whether older, sicker members will swamp insurance plans created by the Affordable Care Act.
Here’s more fodder for the debate over whether older, sicker members will swamp insurance plans created by the Affordable Care Act.
Insurers have wondered whether enough younger, healthier “invincibles” would sign up through online exchanges to subsidize folks with poorer health. The worry was that, without their premiums, expenses for older folks would drive up average costs and make plans less affordable.
Some have argued that an invincible gap might not be fatal thanks to the higher premiums paid by older members and, in the early years, the ACA’s financial safety netfor insurers. Now there’s evidence that, while far from conclusive, suggests young people may be initially joining in greater numbers than some insurers expected.
Read the full story here: http://bit.ly/1lCKl7c
Source: Kaiser Health News
Navigating Health Literacy, Social Determinants, and Discrimination in National Health Plans
February 13th 2024On this episode of Managed Care Cast, we're talking with the authors of a study published in the February 2024 issue of The American Journal of Managed Care® about their findings on how health plans can screen for health literacy, social determinants of health, and perceived health care discrimination.
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Drs Raymond Thertulien, Joseph Mikhael on Racial Disparities in Multiple Myeloma Care Access
December 28th 2023In the wake of the 2023 American Society of Hematology Annual Meeting and Exposition, Raymond Thertulien, MD, PhD, of Novant Health, and Joseph Mikhael, MD, MEd, FRCPC, FACP, chief medical officer of the International Myeloma Foundation, discussed health equity research highlights from the meeting and drivers of racial disparities in multiple myeloma outcomes.
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Standard Criteria for Loss of Ambulation Needed in DMD
April 19th 2024A recent study suggests the differences between ambulation definitions for patients with Duchenne muscular dystrophy (DMD) can impact the identification of ambulant vs nonambulant individuals, and standard criteria across settings are needed.
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